Have I mentioned that I have been a nurse for nearly 23 years? And that I worked 14 of those in a high-risk perinatal setting. In a hospital with a Level 3 designation, providing high-tech, high-quality obstetric care.

Here is the entire text of the brief piece, which CNN got from the AP. And I’m sure they paid the royalties to them, too.

MINNEAPOLIS, Minnesota (AP) — Half of the sextuplets born prematurely to a Minnesota couple have now died, while the others remained in critical condition, hospital officials said Saturday.

A third boy, Lincoln Sean Morrison, died Friday. Two of his brothers, Tryg and Bennet, died earlier in the week.

The four boys and two girls were born last Sunday about 4½ months early at a Minneapolis hospital. Doctors had advised the couple to selectively reduce the number of viable fetuses to two, but they declined.

Parents Ryan and Brianna Morrison released a statement saying it has been “a difficult week” for them, and they thanked everyone for their prayers and support.

“We continue to trust in the Lord and are hopeful for a good outcome for Cadence, Lucia and Sylas,” the statement said.

Hospital officials said no further information would be released.

Can I tell you how frustrating this is for an OB nurse?

When I worked in my last life, I worked with two women with fertility problems. Actually, I worked with quite a few with fertility problems but these two stand out in my mind particularly at the moment.

Linda was in her thirties, happily married and Christian. I can’t remember all the specifics but Linda underwent fertility treatments including drugs like Pergonal and Clomid, the use of which frequently gives rise to conception of serious multiples (quads or greater). Mary was in her twenties, married, Catholic and Italian. I have no idea of her fertility treatment but she conceived quads.

Linda was initially pregnant with four babies, selectively aborted one and carried three babies to over 35 weeks gestation before delivering them, all in the vicinity of five pounds. None of them needed assistance with breathing. They all fed. They may have had a few bumps but, pretty much, were as near a term pregnancy as any triplets are likely to get.

Mary, being from a staunch Catholic upbringing, opted not to selectively terminate and tried to bring her quads to term. I believe they delivered in the vicinity of 33 to 34 weeks, considerably earlier and lighter than Linda’s triplets. Mary required much intervention during her pregnancy, developing preterm labor necessitating medications. Some of those PTL meds are not the kindest or best things for even a relatively healthy, childbearing age woman.

I don’t think any of Mary’s babies was able to leave the hospital with her. If I remember correctly, they all required feeding tubes. Some of them may have had assisted ventilation (probably with nasal C-pap.) I think at least two of Linda’s three went home with Mom…it might have been all three.

I had the pleasure of taking care of Linda in the last few weeks of her pregnancy, when she was confined to the hospital. I also took care of her afterward and helped her to learn to breastfeed. Those are some of the fondest memories I have of my years as an OB nurse.

I never had to deal with Mary when she was hospitalized, thankfully. She was one of those nurses who claimed a moral and religious objection to caring for women during elective terminations. Frankly, I always thought she was just lazy and not really so morally offended, more of a selective Catholic, but that’s an even snarkier post for a really snarky day.

If the Minnesota couple had chosen to reduce the number of fetuses in the pregnancy to three, they might all have left with Mom. Had they reduced the number of babies to four, they would all probably still be alive.

As it stands, they delivered six babies at roughly 22 weeks. A 22-week singleton stands, at best, a 50-50 shot, in my estimation. And that’s a 22-weeker that didn’t have to spend those weeks sharing his environment with five siblings.

As it is, the six babies have required a tremendous amount of health care resources. I’m sure not one was able to breathe on his or her own at birth meaning 6 full teams of neonatal nurses, doctors and respiratory therapists needed to be present. Every effort is made to save any neonate, regardless of gestational age, after the point of potential viability (around 22 weeks when I left OB in 2001).

The three boys who’ve died were each treated by a team of those professionals along with all the ancillary departments necessary for a very sick infant. The three surviving babies, I’m sure, remain in a neonatal intensive care unit, fully ventilated, unable to eat, unable to see yet. Totally unprepared for survival in the environment into which they’ve been thrust.

I don’t begrudge them the medical care, which will run into millions of dollars if many more survive. God bless them that they were able to provide care for their children. I begrudge their parents’ complete lack of foresight via blind devotion to a religious ideology. It is my opinion their ideology is flawed, is too literal and basic and lacks any sense of nuance. I’m of the opinion that four of those babies might be alive today had two of them been selectively terminated early in the pregnancy.

Imagine that…abortion might have saved the life of a child that is now dead.

Theirs is a black and white world. Too bad most of the world comes at us in lovely and varied shades of grey.

You stopped by this site on Saturday or Sunday using those words as your search term.

I hope you had some fun while you were here but I doubt you found the answer to your query.

Disclaimer: The following information is given for its anecdotal value only and is not meant to be perceived as offering medical advice or practicing my profession. In other words, I’m warning you to take this at your own risk and, if you get fucked up as a result and think about suing my fucking ass, you can kiss my rosy ass.

Anyway, “tooth abscess keflex,” I have learned in my experience as an ER nurse that the large majority of physicians I’ve worked with like to prescribe Keflex for skin wounds. Apparently, it covers a lot of the bacteria that regularly colonize the skin.

For dental problems, they usually prescribe a penicillin, usually Pen-Vee K. If Pen-Vee K doesn’t do the trick, they usually move to Clindamycin. I’ve seen my oral surgeon do just that when I had a mandibular cellulitis last summer. Unfortunately, Clindamycin is a very potent antibiotic which can nearly sterilize the gut, so developing Clostridium difficile following a course of Clinda is a distinct possibility if your bowel contains c. diff.

If you are a woman, any of the ‘cillin’s can interfere with hormonal contraceptives. If you use the pill, patch, Depo, etc, you’ll need to use barrier contraceptives (condom or diaphragm) for the duration of the therapy. I would continue until my next cycle, or at least for three extra days, just to be safe.

For prevention of c. diff. and the vaginal yeast infections many women suffer during or following a course of antibiotics, eat a yogurt every day (with active cultures) or get some acidophilus pearls/pills from a health-food store and use as directed. The refrigerated kind of acidophilus works best. I’d continue with the yogurt or acidophilus for 2 or 3 days after the antibiotics, a minimum of 7 days following a course of a long-acting abtibiotic like Rocephin or Zithromax.

The only cure for dental issues is to see a dentist / dental clinic and have the work done. Go see a dentist!

If you show up to my ER once, I will tell you that personally.

If you present yourself to me on two or more occasions with the same complaint, I will yell at you.